KIMBERLY WALLACE (NPI# 1114926698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114926698 |
| Entity Type | Individual |
| Full Name | KIMBERLY WALLACE |
| Credential | PT |
| Practice Address |
420 Bainbridge St 453 Lower Indian Head Road Philadelphia PA 19147-1568 |
| Practice Telephone | 2156293837 |
| Practice Fax Number | 2156295531 |
| Mailing Telephone | 2156293837 |
| Mailing Fax Number | 2156295531 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2008-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT007970L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033457791 | Kimberly Wallace | Physical Therapist | 421 W School House Ln Unit 2, Philadelphia, PA 19144-4557 | 2013-01-30 |
| 1942592340 | Kimberly Wallace | Counselor | 1427 Se 182nd Ave, Portland, OR 97233-5008 | 2011-05-04 |
| 1669794137 | Kimberly Wallace | Registered Nurse | 214 Rosewood Ter, Cheektowaga, NY 14225-3016 | 2010-02-24 |
| 1770627705 | Kimberly Shannon Wallace | Family Medicine | 1438 Defense Hwy Suite 201, Gambrills, MD 21054 | 2007-02-15 |
| 1144881640 | Kimberly Veronica Wallace | Advanced Practice Midwife | 100 Lillian Gish Blvd Sw Ste 201, Massillon, OH 44647-6500 | 2019-06-25 |
| 1316413271 | Kimberly Pauline Wallace | Pharmacist | 951 Central St, Franklin, NH 03235-2028 | 2018-10-18 |
| 1942705223 | Kimberly Wallace | Technician | 1312 S 8th St, Las Vegas, NV 89104-1638 | 2018-03-28 |
| 1043713936 | Kimberly Louise Wallace | Registered Nurse | 2040 Babcock Rd Ste 304, San Antonio, TX 78229-4428 | 2018-03-16 |
| 1265969133 | Kimberly Wallace | Registered Nurse | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2017-05-22 |
| 1083091987 | Kimberly Wallace | Counselor | 1944 Brannan Rd, Mcdonough, GA 30253-4310 | 2015-04-29 |
| Street Address |
420 BAINBRIDGE ST 453 LOWER INDIAN HEAD ROAD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661235 | Orthopedic and Sports Physical Therapy Services, Inc. | Physical Therapist | 420 Bainbridge St, Philadelphia, PA 19147-1568 | 2005-07-07 |
| 1922517036 | Alexis Dispenziere | Physical Therapist | 420 Bainbridge St, Philadelphia, PA 19147-1568 | 2017-09-21 |
| 1730622499 | Emily Chappell | Physical Therapist | 420 Bainbridge St, Philadelphia, PA 19147-1568 | 2016-11-29 |
| 1811373996 | John Zegar | Physical Therapist | 420 Bainbridge St, Philadelphia, PA 19147-1568 | 2015-07-30 |
| 1295141828 | Rachel Braman | Physical Therapist | 420 Bainbridge St, Philadelphia, PA 19147-1568 | 2014-07-02 |
| 1982999561 | Antonio Greco | Physical Therapist | 420 Bainbridge St, Philadelphia, PA 19147-1568 | 2011-06-13 |
| 1437449204 | Christine Vanderwyden | Physical Therapist | 420 Bainbridge St, Philadelphia, PA 19147-1568 | 2011-04-14 |
| 1225327869 | Caitlin Higgins | Physical Therapist | 420 Bainbridge St, Philadelphia, PA 19147-1568 | 2011-04-05 |
| 1780984559 | Adam Kessel | Physical Therapist | 420 Bainbridge St, Philadelphia, PA 19147-1568 | 2010-10-27 |
| 1003134826 | Meredith Mayes | Physical Therapist | 420 Bainbridge St, Philadelphia, PA 19147-1568 | 2010-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831866 | Sara M Feldman | Physical Therapist | 3401 N Broad St # D101, Philadelphia, PA 19140-5103 | 2020-11-02 |
| 1700485273 | Persevere Physical Therapy LLC | Physical Therapist | 1607 W Susquehanna Ave, Philadelphia, PA 19121-1619 | 2020-10-25 |
| 1235738907 | Lauren Nicole Haber | Physical Therapist | 13018 Sewell Rd, Philadelphia, PA 19116-1319 | 2020-10-22 |
| 1407455488 | Paul Canty Jr. | Physical Therapist | 7345 Frankford Ave, Philadelphia, PA 19136-3930 | 2020-10-21 |
| 1891393914 | Joseph Daigneau | Physical Therapist | 379 Helene Pl, Philadelphia, PA 19116-2740 | 2020-10-12 |
| 1164029013 | Trinh Phuong Nguyen | Physical Therapist | 2906-2908 Island Avenue, Philadelphia, PA 19153 | 2020-10-05 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1811507429 | Clifford Yun Physical Therapy, PC | Physical Therapist | 2256 N Van Pelt St, Philadelphia, PA 19132-4820 | 2020-08-07 |
| 1164040622 | Brittnay Grimm | Physical Therapist | 1217 N Hancock St Unit 102, Philadelphia, PA 19122-4574 | 2020-07-10 |
| 1952926792 | Lisa Maria Falcone | Physical Therapist | 804 Ripley St, Philadelphia, PA 19111-2515 | 2020-06-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19147 |
Please comment or provide details below to improve the information on KIMBERLY WALLACE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.